In preparing discharge planning for a client who has been prescribed lithium for the treatment of bipolar disorder, the nurse must be sure that the client demonstrates an understanding of the need to monitor his or her diet for intake of:
a. Potassium
b. Carbohydrates
c. Protein
d. Sodium
D
Lithium is a salt that is absorbed into the bloodstream and is excreted by the kidneys at a faster rate than sodium. Therefore, clients must monitor their sodium and fluid intake, as well as their activity level. The other options are not a concern when lithium is taken.
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The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. When documenting this finding, the nurse reports this as a:
a. Bulla. b. Wheal. c. Nodule. d. Papule.
An older adult patient tells the nurse that she is "tired" of having her medication doses changed so many times and wants to find a doctor who "knows what he's doing." How should the nurse respond to this patient?
1. "Have you thought about cutting pills or add pills together to get the correct dose?" 2. "If you seriously want to change providers, know some of the other doctors in the building are taking new patients." 3. "Frequent dose changes are necessary until the correct dose for you is determined." 4. "I know what you mean. It is annoying, but it is necessary."
Which statements about perimenopausal hormone replacement therapy (HRT) are true? (select all that apply)
a. Insomnia is a common side effect. b. They slightly increase the risk for heart attacks. c. They increase the chances of becoming pregnant. d. Women taking them should avoid caffeine. e. They are prescribed to prevent osteoporosis. f. Weight may increase during therapy. g. They should be used only by women who are sexually active. h. They cannot be used by anyone who took oral contraceptives for more than 5 years.
Which of the following statements made by a nurse related to the organization of client care re-quires follow-up by the mentor?
1. "I had my LPN bring the Foley catheterization supplies into the room so they'd be there when I got there." 2. "I delegated all the stable vital signs to my nursing assistant and the treatments to the LPN." 3. "I was taking vitals on one client, dangling a second client while I had the third expelling an enema." 4. "Organization was never a strength of mine, but I believe I'm getting better at completing all my client's care."